Individual provider · Type 1 NPI
Rena Lachelle Shaw
Prosthetic/Orthotic Supplier · Indianapolis, IN
Practice location
6434 E 52nd St
Indianapolis, IN 46226-2588
Mailing address
55 Monument Cir Ste 222A
Indianapolis, IN 46204-2910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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About NPI 1285470534
Rena Lachelle Shaw's National Provider Identifier is 1285470534, issued on Jul 6, 2024. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 6, 2024.